Glenn Granum is a Peer Specialist based in Ferndale, NY. Glenn Granum practices in Monticello, NY. The NPI Number for Glenn Granum is 1841957594 and holds a License No. (New York).
The current practice location address for Glenn Granum is 396 Broadway, Monticello, NY and can be reached out via phone at 845-784-8080.
Location: 396 Broadway, Monticello, NY, 12734-0573
Provider Profile Details
NPI Number
1841957594
Provider Name
Glenn Granum
Credential
Provider Entity Type
Individual
Gender
Male
Address
396 Broadway, Monticello, NY, 12734-0573
Phone Number
845-784-8080
Fax Number
Provider Enumeration Date
11/17/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
396 Broadway
City
State
Zip
12701-1157
Phone Number
845-784-8080
Fax Number
Provider Business Mailing Address Details
Address
396 Broadway
City
State
Zip
12701-1157
Phone Number
845-784-8080
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(New York)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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